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Thread: Heart patient coughs up intact cast of bronchial tree - photo

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    Jon
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    Heart patient coughs up intact cast of bronchial tree - photo

    This one is making the viral rounds, accompanied by dubious "man coughs up lung" descriptions.

    Last week, The New England Journal of Medicine stepped in to set the record straight: it's real, and it's a coughed-up cast of a bronchial tree, from a 36-year old man with chronic heart failure. Kinda like a blood clot.

    During an extreme bout of coughing, the patient spontaneously expectorated an intact cast of the right bronchial tree. The right bronchial tree consists of three segmental branches in the upper lobe (blue arrows), two segmental branches in the middle lobe (white arrows), and five segmental branches in the lower lobe (black arrows).


    More: New England Journal of Medicine - Cast of the Right Bronchial Tree

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    I showed the picture to my wife (a 40+ year nurse) and she says she saw a much smaller sample coughed up by a patient years ago, just nothing as large and important as this one. I would have sworn it was a fake, but I'm no medical professional.
    ...Semper Fidelis...

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    PJs
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    That must have been a cough of epic proportions and felt Real Good to get that out of there! I have atomic sneezing attacks, even broke a rib once, but this is next level.


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